SPIO Orthoses

To order, ask your BPHT therapist to measure your child at their next appointment.

What is SPIO?

SPIO stands for Stabilizing Pressure Input Orthosis. SPIO orthoses are comfortable compression clothing, designed by a clinician to improve proprioception for improved stability, posture, sensory response, and motor control in children and adolescents.

SPIO contributes 100% of its profits to Children’s Therapy Center, a non-profit organization dedicated to helping children with special needs and their families. SPIO is a Pacific Northwest company, and all garments are manufactured locally in the Seattle area.

What SPIO products are available through BPHT?

BPHT therapists can custom measure patients for SPIO vests, short and long sleeve shirts, pants, and/or gloves.

Are SPIO products covered by insurance?

SPIO orthoses may be covered by your insurance under DME (durable medical equipment). A sensory assessment may be required to evaluate your child’s need. If a SPIO product is recommended by your therapist, our BPHT Authorization Specialist will assist with coordinating the documentation required by your insurance. We encourage you to contact your insurance company’s customer service department directly for information on your specific DME coverage.

SPIO products may also be purchased out of pocket without prior authorization or insurance requirements. Cash pricing for SPIO products varies depending on type of garment, size and customization.

Who can use SPIO Orthoses?

SPIO garments have shown to be effective with children of all ages with:

  • Sensory Processing Disorder
  • Autism
  • Brachial plexus injuries
  • Cerebral palsy; Athetoid, Ataxia, Quadriplegia, Spastic diplegia, Hemiplegia
  • Hypertonia
  • Hypotonia
  • Syndromes such as Retts, Angelmans and Down Syndrome
  • Other related developmental delays and disabilities

Please note that each individual is unique and results may vary. The use of a SPIO orthosis is contra-indicated by patients who have heat-triggered seizure disorders, and/or lycra or neoprene allergies.

Download SPIO information flyer >>


If you’d like to order SPIO garments:

Ask your BPHT therapist to measure your child at their next appointment.

Contact us to schedule >>

Symptoms of Sensory Processing Disorder (SPD)

Symptoms of SPD may include:

  • over- or under-sensitivity to movement, touch, textures, sound, light, smells, or tastes
  • picky eating
  • challenges with emotional regulation
  • anxiety
  • poor listening and attention
  • emotional dysregulation
  • perfectionism
  • impulsivity
  • prone to meltdowns
  • ADD, ADHD, and/or OCD
  • defiant behavior
  • lack of coordination
  • learning disabilities, and more

Sensory Processing Disorder as a Diagnosis

(from Wikipedia:) Although sensory processing disorder is accepted in the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, it is not recognized as a mental disorder in medical manuals such as the ICD-10 or the DSM-5.

Diagnosis is primarily arrived at by the use of standardized tests and questionnaires, expert observational scales, and free play observation at an occupational therapy gym. A child may be referred for an OT evaluation based on a behavioral diagnosis such as ADHD or a neurological diagnosis such as Autism Spectrum Disorder, as well as other diagnoses.

Contact us to request an evaluation today>>

Treatment for Sensory Processing Disorder

SPD in children can be effectively treated and managed with Occupational Therapy. Through therapeutic play activities, the child will be empowered to:

  • identify and recognize their thoughts and feelings
  • progressively expand their tolerances and comfort zone
  • process stimuli in a more functional manner
  • choose more appropriate behavioral responses
  • perform daily activities more independently

The goal of this approach is to enable the patient (child) to more successfully regulate their own feelings, emotions and thoughts, resulting in more productive behaviors and increased independence.

Our Approach

At Bothell Pediatric, we believe that each child is uniquely brilliant. Through effective therapeutic intervention, it’s our goal to give children the tools they need to succeed at home, at school, in social situations and out in the community. Partnering with parents, we help children increase independence and improve functioning in their activities of daily living.

After the Initial Evaluation, a customized treatment plan is created for each child to support them in maximizing the benefits of therapy. From increasing strengths in a particular area to fostering the brain’s development of neural pathways, all of our therapists monitor and direct the therapeutic “play” sessions in order to ensure that the primary treatment goal is always the focus.

Our unique approach focuses on the successful integration of children’s brain & body systems to advance healthy growth and development. We continually promote collaboration among our licensed therapists to ensure optimal patient outcomes.

Contact us to schedule an OT evaluation today >>